NEPHROLOGY CLINIC PC (NPI# 1316120991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316120991 |
Entity Type | Organization |
Organization Name | NEPHROLOGY CLINIC PC |
Other Organization Name | THE NEPHROLOGY CLINIC |
Practice Address |
3116 Willet Dr Laramie WY 82072 |
Mailing Address |
1600 Specht Point Rd Suite 127 Ft Collins CO 80525-4311 |
Practice Telephone | 9704937733 |
Practice Fax Number | 9704938745 |
Mailing Telephone | 9704937733 |
Mailing Fax Number | 9704938745 |
Enumeration Date | 2007-12-06 |
Last Update Date | 2020-10-19 |
Authorized Official Name | TOBEY MIKULA (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 9704937733 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
The Nephrology Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
1467084939 | Nephrology Clinic PC | Clinic/Center | 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 | 2020-02-12 |
1235761735 | Nephrology Clinic PC | Clinic/Center | 620 Iris Dr, Sterling, CO 80751-4716 | 2020-02-12 |
1497387997 | Nephrology Clinic PC | Clinic/Center | 1000 Lincoln St, Fort Morgan, CO 80701-3290 | 2020-02-12 |
1942297742 | Nephrology Clinic PC | Internal Medicine | 1600 Specht Point Rd, Suite 127, Ft Collins, CO 80525-4311 | 2005-10-05 |
Street Address |
3116 WILLET DR |
City | LARAMIE |
State | WY |
Zip Code | 82072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629688924 | Colby Wolf | 16th & Gibbon, Department 3414, Laramie, WY 82072 | 2020-08-03 | |
1871947341 | Curran Quast | Case Manager/Care Coordinator | 1465 N 4th St Ste 111, Laramie, WY 82072 | 2016-04-20 |
1184030827 | David Hokanson | Dentist | 352 N. 4th Street, Laramie, WY 82072 | 2014-07-02 |
1356673297 | Aaron Lozano | Counselor | 1465 N. 4th Street #119, Laramie, WY 82072 | 2010-02-03 |
1407181092 | Maureen K. Johnson Inc | In Home Supportive Care | 2010 Reynolds H280, Laramie, WY 82072 | 2009-10-15 |
1851410682 | Laramie Reproductive Health | Public Health or Welfare | 1252 N 22nd St Suite A, Laramie, WY 82072 | 2007-03-29 |
1942345327 | Fike Chiropractic Pain Relief | Chiropractor | 1267 N 15th St, Suite 123b, Laramie, WY 82072 | 2007-02-21 |
1336215441 | Laramie Pediatrics Internal Medicine | Internal Medicine | 1252 North 22nd St, Ste B, Laramie, WY 82072 | 2006-11-28 |
1407939218 | Ark Regional Services, Inc | Occupational Therapist | 1150 N 3rd Street, Laramie, WY 82072 | 2006-10-23 |
1235219189 | Shaun S Shafer Md PC | Specialist | 204 Mccollum Drive #201, Laramie, WY 82072 | 2006-10-16 |
Find all providers in zip 82072 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780633610 | Timothy C Govaerts | Internal Medicine | 2710 Harney St Ste 200, Laramie, WY 82072-2899 | 2006-05-08 |
1306461108 | Snowy Range Kidney Care LLC | Internal Medicine | 2710 Harney St Ste 200, Laramie, WY 82072-2899 | 2020-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891726626 | Robert Neuwirth | Internal Medicine | 501 S. Burma Ave, Gillette, WY 82716 | 2006-07-06 |
1780686188 | Eric Sawyers | Internal Medicine | 419 S Washington St Ste 102a, Casper, WY 82601-2951 | 2005-08-15 |
1851809842 | Campbell County Hospital District | Internal Medicine | 501 S Burma Ave, Gillette, WY 82716-3426 | 2018-01-12 |
1639455090 | Rahul N Pawar | Internal Medicine | 1180 College Dr, Rock Springs, WY 82901-5863 | 2011-10-31 |
1710086558 | Robert Travis Neff | Internal Medicine | 419 S Washington St, Suite 102, Casper, WY 82601-2951 | 2006-09-21 |
1699878884 | Wyoming Nephrology & Hypertension, PC | Internal Medicine | 1141 Wilkins Cir, Casper, WY 82601-1332 | 2006-09-06 |
1740264357 | Ageselaos John Meares | Internal Medicine | 2301 House Ave, Suite 201, Cheyenne, WY 82001-3176 | 2005-12-06 |
1629063094 | Jean A Halpern | Internal Medicine | 2301 House Ave, Ste 201, Cheyenne, WY 82001-3176 | 2005-09-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.